Risk of swallowing disorder in Chronic Obstructive Pulmonary Disease
DOI:
https://doi.org/10.23925/2176-2724.2024v36i2e65562Keywords:
Deglutition, Deglutition Disorders, Dysphagia, Pulmonary Disease, Chronic Obstructive, Respiratory DiseasesAbstract
Introduction: Pulmonary emphysema and chronic bronchitis are lung conditions known as chronic obstructive pulmonary disease (COPD). Symptoms include dyspnea and coughing, which can impact the breathing/swallowing coordination, possibly impairing eating. Objective: To report the association of the risk of swallowing disorders (RSD) in patients with COPD without speech-language-hearing follow-up. Method: Cross-sectional, retrospective study (2001-2011) with secondary data analysis from patients at a pulmonology outpatient clinic. The variables analyzed were sex, age, time since disease diagnosis, and comorbidities. Having at least one of the following criteria was considered as RSD: change in the food consistency, change in the oral intake volume, use of an alternative feeding route, and home oxygen. Results: RSD was found in 60% of the analyzed medical records. It was associated with age (p=0.009) and pulmonary involvement due to emphysema (p=0.041). Patients with RSD had a prevalence of home oxygen use (46.7%; p<0.001) compared to those without RSD. Conclusion: Patients with COPD in outpatient follow-up had a high prevalence of risk of swallowing disorders, associated with older patients and impairment due to pulmonary emphysema. Some publications relating COPD to dysphagia have addressed the importance of speech-language-hearing assessment. However, more publications on the subject are needed to raise health professionals’ awareness of these patients’ care needs.
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Copyright (c) 2024 Fabiani Rodrigues da Silveira, Roberta Gonçalves da Silva, Diane de Lima Oliveira, Patrícia Haas, Marcos José Machado, Ana Maria Furkim
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